Ms. J is an alcoholic who has previously reported that she has not eaten "food" for at least the past 3 months. She stated that her sole source of kilocalories had been in the form of alcohol. The physician has ordered a high-kilocalorie, high-protein diet. Ms. J has eaten 100% of the three high-kilocalorie, high-protein meals received thus far. While reviewing her laboratory reports, the nurse notices her serum phosphorus, magnesium, and calcium values are decreased. The nurse should:

Question

Quizplus · Accepted Answer

CLow levels of serum phosphorus, magnesium, and calcium in a patient with a history of alcoholism and poor nutrition can indicate refeeding syndrome, a potentially fatal condition that occurs when malnourished patients start to eat and metabolize food again. Immediate communication with the physician (A) is crucial for appropriate management, which may include electrolyte supplementation and monitoring. Offering a complete nutritional supplement (C) can also help address nutritional deficiencies, but this should be done under medical supervision to avoid exacerbating refeeding syndrome.

Ms J Is an Alcoholic Who Has Previously Reported That